Breast augmentation is the most popular cosmetic procedure in the US, but there are many reasons why women may choose, or require, to have their implants removed. At Pacific Center Plastic Surgery, our doctors specialize in breast implant revision procedures.

Be informed – Allergan Textured Breast Implant Recall

There are several different reasons why women may choose to have their breast implants removed at some point after their augmentation:

Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA ALCL) is another form of breast implant illness requiring removal. Symptoms typically occur 3-14 years after implant placement and may include fluid buildup, pain, swelling, and lumps in and around the breasts.

Breast implant removal can be done in a few different ways. The doctor will make recommendations on the method that best suits your situation.

Learn more about the symptoms of breast implant illness and the treatment options available by our experienced and board-certified plastic surgeons.

Total Capsulectomy

The removal of the entire breast capsule scar from around the breast implant. It includes the removal of the front and back wall of the implant capsule, therefore meaning the total capsule is removed. 

Partial Capsulectomy

The removal of only part of the breast implant capsule. Typically, the anterior portion of the breast capsule is removed and the back wall is left untouched to minimize the risk of complications. 

En Bloc

A breast implant removal technique that involves removing the implant as well as the surrounding scar tissue capsule in one piece, removing all of the scar tissue, implant and gel together, whether the implant has ruptured or is still intact. The technique is also used for permanent removal.  En Bloc is frequently used when breast implant illness symptoms have been reported by the patient or when BIA-ALCL has been diagnosed. 

Total and partial capsulectomy procedures require a smaller incision compared to that needed with En Bloc removal. This will be discussed in greater detail during the consultation. 

With any breast implant removal technique mentioned above, the decision will need to be made whether or not further breast contouring is desired. The options available include: 

  • Implant removal alone
  • Implant removal with a breast lift 
  • Implant removal with a breast lift and fat grafting (natural augmentation)
  • Implant removal with fat grafting only 

Depending on the reason for removing the breast implants, it may be recommended to remove the implants for a period of months to let the breasts heal and settle in. At a future date, it can be determined if further enhancement of the breasts is desired. 

When Should It Be Considered?

To learn more about specifics on En Bloc, read Board-Certified Dr. Horowitz’s recent two-part series explaining what an En Bloc Explantation is and when is an ideal time to complete the procedure.

To start with part I, click here.

Finding a Surgeon for Breast Implant Removal

Not every plastic surgeon offers breast implant removal with En Bloc. The advanced technique takes years of experience to be successful at completely removing the capsule. Drs Horowitz and Nichter are board-certified with years of experience performing breast augmentation as well as breast implant removal using the total capsulectomy, partial capsulectomy, and En Bloc techniques. To learn more, contact our office and schedule your consultation with Pacific Center Plastic Surgery.


Virtual Consultations & Destination Services in Newport Beach, CA

Pacific Center for Plastic Surgery is committed to helping you make your trip to beautiful Newport Beach as pleasant and luxurious as possible. Don’t let distance hold you back from meeting our amazing plastic surgeons. Dr. Jed Horowitz and Dr. Larry Nichter see patients from all over the world, and they make patients’ comfort and happiness their top priority. If you want to book a virtual consultation, or you need help finding places to stay in the Orange County area, please call our office today at (949) 565-2121 or request a consultation online.